Dental Billing Clerk

Castle Family Health Centers; Atwater (CA); On-site; USD 23,866 - 33,992; Full time

Benefits offered by this job

401(k)

Dental insurance

Flexible spending account

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Castle Family Health Centers in Atwater, California, is looking for a Billing Specialist focused on Medi-Cal (Denti-Cal) billing. Responsibilities include preparing and submitting claims, verifying eligibility, and ensuring compliance with healthcare regulations.

The ideal candidate should be detail-oriented, possess strong organizational skills, and have experience in customer service. Benefits include health insurance, 401(k), and paid time off.

Qualifications

• Typing speed of 35-45 wpm and computer skills.
• Experience in customer service.
• Strong organizational skills necessary for billing tasks.

Responsibilities

• Prepare, review, and submit dental claims.
• Verify eligibility and benefits prior to submission.
• Monitor claim status and resolve denials.
• Maintain compliance with HRSA, CMS, DHCS, and HIPAA.

Skills

Attention to detail

Customer service

Bilingual Spanish

Organizational skills

Education

High School Graduate and/or billing certificate

Job description

Medi‑Cal (Denti‑Cal) Billing – Primary Focus

• Prepare, review, and submit dental claims in accordance with Denti‑Cal/Medi‑Cal guidelines.
• Ensure proper use of CDT codes, modifiers, and treatment authorizations (TARs).
• Verify eligibility and benefits prior to claim submission.
• Monitor claim status and resolve denials, including documentation and X‑ray requirements.

EHR Review & Documentation Validation

• Review patient charts to ensure billed procedures are supported by documentation.
• Verify required X‑rays (bitewings, periapical, panoramic) are present and compliant.
• Confirm procedure notes, tooth numbers, surfaces, and clinical justification.
• Coordinate corrections with providers prior to submission.

Commercial Billing

• Submit claims to commercial carriers and manage coordination of benefits.
• Post payments and identify denial trends.

Accounts Receivable

• Work A/R reports and follow up on unpaid claims.
• Correct and resubmit claims as needed.

Compliance

• Maintain compliance with HRSA, CMS, DHCS, and HIPAA requirements.
• Support audits and ensure documentation integrity.

Collaboration

• Communicate with providers and staff regarding documentation issues.
• Assist with training and workflow improvements.

Desired Qualifications

• High School Graduate and/or billing certificate
• Type 35‑45 wpm & computer skills
• Customer services experience
• Bilingual Spanish preferred
• Strong organizational skills
• Must be a team player

Benefits

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• $21 per hr

Schedule

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate

• Atwater, CA 95301: Reliably commute or planning to relocate before starting work (Required)

Work Location

In person